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General NPI Number Information
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NPI Number | 1497621262
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Entity Type | Individual
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Provider Name | SOFIA GONZALEZ ASTARLOA
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Gender |
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 7200 BANCROFT AVE STE 188
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City | OAKLAND
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State | CA
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Zip | 94605-2452
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Country | US
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Telephone | 510-746-5561
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 SHATTUCK AVE APT 300
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City | BERKELEY
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State | CA
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Zip | 94705-1087
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Country | US
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Telephone | 510-684-9726
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 136A00000X
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Taxonomy Name | Registered Dietetic Technician
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License Number |
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License Number State |
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